UTU Retired Yardmasters

Consolidated Associations of Railroad Employees

United Transportation Union

Retired Yardmasters Health Plan

P. O. Box 6112, Temple, Texas 76503-6112

Phone (800) 334-1330 Fax (254) 774-7652

ATTENTION

UTU RETIRED YARDMASTERS

Plan I, Plan II, Plan II Wraparound, III, IV and V Members

At the meeting of the UTU Retired Yardmasters Board of Directors held on April 24, 2008, it was the unfortunate decision to terminate all of the UTU Retired Yardmasters Health Plans effective May 31, 2008. You will be receiving correspondence explaining in detail the reason for the termination of this plan.

To assist you in transferring your membership elsewhere in a timely manner, you may wish to consider two possible options regarding your healthcare:

(1) United Healthcare as they are having an open enrollment through May 31, 2008. You may reach them by calling

1-800-842-5252 and identifying yourself as a retired UTU Yardmaster. You should request an application to begin coverage as quickly as possible so that you will not have a lapse in health care coverage.

(2) If you worked for a Railroad that has a Hospital Association representing your road, you may contact them to see if there are options available to you as well. The listing of Hospital Associations, the roads they represent and their phone numbers are as follows:

C & O Employees' Hospital Association (CSX) - 540-862-5728

Consolidated Associations of Railroad Employees (BNSF) - 254-334-1330

Rio Grande Employees Hospital Association (UP) - 303-274-2312

Santa Fe Employees Hospital Association - Coast Lines (BNSF) - 626-967-3550

Union Pacific Railroad Employes Health Systems (UP) - 801-595-4300

Wabash Memorial Hospital Association (NS) - 217-429-5246

ADDENDUM TO THE UNITED TRANSPORTATION UNION

RETIRED YARDMASTER HEALTH PLAN

EFFECTIVE JANUARY 1, 2008

NEW PRECERTIFICATION AND UTILIZATION REVIEW COMPANY (Applicable only to Plan I, Plan II (wraparound plan when GA46000 exhausted), and Plan V).

Spectrum Review Services, Inc. 800-258-5055

ADDITIONAL PRECERTIFICATION REQUIREMENTS FOR 2008

Outpatient Day Surgery Procedures:

When your doctor has ordered one of the following Outpatient procedures listed

below, Spectrum Review Services, Inc. must be contacted PRIOR to the

procedure being performed to precertify the procedure:

Arthroscopy (ALL)

Cardiac Catheterization

Carpal Tunnel Release

Eye Surgeries (ALL)

Foot Surgeries - Bunionectomy & Hammer Toe Repair

Hernia Repairs

Knee Surgeries

Lithotripsy

Nasal Surgeries - Ethmoidectomy, Nasal Pharynx Procedures, Rhinoplasty/Septoplasty andTurbinectomy

Varicose Vein Stripping

(Please refer to page 21 of your Health Plan Book for additional Precertification guidelines)

BENEFIT CHANGES FOR 2008

Plan I, Plan II (Wraparound plan when GA46000 exhausted), and Plan V

Durable Medical Equipment Supplies will be paid at 50%.

Plan II - Secondary to United Healthcare GA46000

The United Healthcare GA46000 Lifetime Maximum increased from $101,200 to $107,700.

As a supplement to the United Healthcare (UHC) GA46000 Plan, your plan will no longer pay 20% of the Preventative Services which are denied by the primary carrier.

Plan III & IV - Medicare Supplements

As a supplement to Medicare, your plan will no longer cover 40% of the Durable Medical Equipment charges which your primary carrier, Medicare, does not cover.

NOTICE TO ALL

UNITED TRANSPORTATION

RETIRED YARDMASTER HEALTH PLAN PARTICIPANTS

We have been notified by your former Health Plan Administrator, Trustmark, that any health care claims they receive with a date of service from January 1, 2007 forward will be denied and returned to the provider of service or you advising that your coverage has been terminated with them.

As you are aware, effective January 1, 2007, Consolidated Associations of Railroad Employees (CARE) began administering your health plan.

Please advise your physician and/or hospital of this change and have them forward all claim incurred for you or your eligible covered dependents after January 1, 2007 to:

UTU Retired Yardmaster Health Plan / CARE

P. O. Box 6112

Temple, Texas 76503-6112

Please do not hesitate to contact CARE at our toll-free number 1-800-334-1330 with any questions.

	The United Healthcare GA46000 Lifetime Maximum increased from $101,200 to $107,700.
	As a supplement to the United Healthcare (UHC) GA46000 Plan, your plan will no longer pay 20% of the Preventative Services which are denied by the primary carrier.